Moon Seol-Hee, Park Ho-Ran, Kim Dong Yeon
Registered Nurse, Neonatal Intensive Care Unit, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Professor Emeritus, College of Nursing, The Catholic University of Korea, Seoul, Korea.
Child Health Nurs Res. 2021 Jul;27(3):297-307. doi: 10.4094/chnr.2021.27.3.297. Epub 2021 Jul 30.
This descriptive study compared the perceived parental stress levels between parents with very low birth weight infants (VLBWIs) and nurses in the neonatal intensive care unit (NICU).
In total, 83 parents of VLBWIs and 78 NICU nurses were enrolled. Data were collected with the Parental Stress Scale (PSS) and analyzed using the t-test and analysis of variance in SAS version 9.4.
The average PSS score was 3.31 among parents and 3.45 among nurses. The stress score was significantly higher among nurses with children (t=2.46, =.016) and senior nurses (t=2.12, =.037). There was a significant difference in the stress score according to parents' education (t=3.29, =.002) and occupation (F=3.14, =.049) in the sights and sounds subscale. Mothers had significantly higher stress scores than fathers in the parental role alterations subscale (t=2.32, =.023). Parental stress scores were higher than those perceived by nurses in the infant's appearance and behaviors subscale for breathing patterns (t=2.95, =.004), followed by jerky/restless behavior (t=2.70, =.008).
Nurses should provide explanations to parents of VLBWIs in order to reduce parental stress about the appearances and behavior of VLBWIs. This is more important than aspect of the NICU environment and education about parental roles.
本描述性研究比较了极低出生体重儿(VLBWI)父母与新生儿重症监护病房(NICU)护士所感知的父母压力水平。
共纳入83名VLBWI的父母和78名NICU护士。使用父母压力量表(PSS)收集数据,并在SAS 9.4版本中使用t检验和方差分析进行分析。
父母的平均PSS得分为3.31,护士为3.45。有孩子的护士(t = 2.46,P = 0.016)和资深护士(t = 2.12,P = 0.037)的压力得分显著更高。在视觉和听觉子量表中,根据父母的教育程度(t = 3.29,P = 0.002)和职业(F = 3.14,P = 0.049),压力得分存在显著差异。在父母角色改变子量表中,母亲的压力得分显著高于父亲(t = 2.32,P = 0.023)。在婴儿外观和行为子量表中,父母在呼吸模式方面的压力得分高于护士(t = 2.95,P = 0.004),其次是急促/不安行为(t = 2.70,P = 0.008)。
护士应为VLBWI的父母提供解释,以减轻他们对VLBWI外观和行为的压力。这比NICU环境和父母角色教育方面更重要。